4Reduction and fixation

Reduction and fixation of the third TMT

The 3rd TMT is reduced through the dorsolateral incision. The position is held using a pointed reduction (Weber) clamp, or K-wires placed under image intensification. A lag screw is then placed from the dorsal base of the third metatarsal into the cuneiform row. The screw can be inserted into either the lateral or middle cuneiform.